title: Endoscopic fibrin glue injection for closure of pancreatocutaneous fistula following transgastric endoscopic necrosectomy.
abstract: Transgastric endoscopic necrosectomy has been recently introduced as the effective and alternative management of infected pancreatic necrosis and pancreatic abscess. However, up to 40% of patients who undergo endoscopic necrosectomy may need an additional percutaneous approach for subsequent peripancreatic fluid collection or non-resolution of pancreatic necrosis. This percutaneous approach may lead to persistent pancreatocutaneous fistula, which remains a serious problem and usually requires prolonged hospitalization, or even open-abdominal surgery. We describe the first case of pancreatocutaneous fistula and concomitant abdominal wall defect following transgastric endoscopic necrosectomy and percutaneous drainage, which were endoscopically closed with fibrin glue injection via the necrotic cavity.
authors.affiliation: Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Songpagu, Seoul 138-736, South Korea.
authors.forename: Ji-Woong
authors.initials: JW
authors.lastname: Jang
authors.forename: Do-Hyun
authors.initials: DH
authors.lastname: Park
authors.forename: Sung-Hoon
authors.initials: SH
authors.lastname: Moon
authors.forename: Sang-Soo
authors.initials: SS
authors.lastname: Lee
authors.forename: Dong-Wan
authors.initials: DW
authors.lastname: Seo
authors.forename: Sung-Koo
authors.initials: SK
authors.lastname: Lee
authors.forename: Myung-Hwan
authors.initials: MH
authors.lastname: Kim
mesh_terms: D000269:Adhesives / Q000008:administration & dosage*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005337:Fibrin / Q000008:administration & dosage*; D006801:Humans; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000473:pathology* / Q000601:surgery*; D010185:Pancreatic Fistula / Q000601:surgery*
chemical_list: D000269:Adhesives; D005337:Fibrin